social services local partnership area - a5 about mr. mario rossi lisbon, 4- 9 july 2015 2 born in...
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Social Services Local Partnership Area - A5
About Mr. Mario Rossi
Lisbon, 4- 9 JULY 2015 2
Born in Atripalda (AV) on August 20th 1940Living in the same area the local social
service unit is in charge of (A5 Area )Height: 1.75Appearance: grey –haired, unassumingStatus: widower
He decides to apply to the PUA of the local partnership area for Social Services and Health Care.
dott.ssa Maria Russo
About us: what does PUA stand for?It stands for an integrated and inclusive approach to social, healthcare and care-oriented services which is meant to increase social workforce effectiveness in the responsibility of taking charge of complex needs. Indeed, the social demand for social and health services, matches local level interventions, actions and government provisions only if it is taken into account that the multi-level nature of any need always requires interrelated and coordinated solutions.
Lisbon, 4- 9 JULY 2015 3dott.ssa Maria Russo
Mr. Rossi knocks at the door… toc toc!
Lisbon, 4- 9 JULY 2015 4
Mr. Rossi is RECEIVED by a professional social workerdott.ssa Maria Russo
Mr. Rossi expresses a need
Lisbon, 4- 9 JULY 2015 5
The first phase is the active listening of the demands and individual needs
“... I feel lonely and tired, I cannot fully extend myself in all domestic activities and routines, sometimes I can’t even go to the grocery store ... my wife passed away six months ago and my two sons are working abroad ...”
dott.ssa Maria Russo
FIRST READING OF NEEDWhat can we do for Mr. Mario Rossi?
Although he lives alone, he lives in a small town and his house is in a built-up area; what’s more, he walked to our office ...
He claims to follow a cure for his aches and pains, but he hardly remembers the name of his medicines…
... His certified disabling condition exceeds 75% and he visibly finds it difficult to move around
Lisbon, 4- 9 JULY 2015 6dott.ssa Maria Russo
WHAT kind of need?Social SanitarySocial-Sanitary
The social worker makes it clear that both a social and health need can occur: he is requested to give information to the office and to steer the range of services and opportunities around Mr. Rossi’s expectations and demands.
Lisbon, 4- 9 JULY 2015 7
SOMEONE WILL ATTEND TO THE USER’S MEDICAL CARE, SOMEONE ELSE WILL AID TO
GO SHOPPING ...
dott.ssa Maria Russo
STEP TWO: THE INTEGRATED ASSESSMENT BETWEEN SOCIAL AND HEALTH CARE
Lisbon, 4- 9 JULY 2015 8
IEU Integrated Evaluation Unit
At this point a Second Level rating is arranged in order to activate a
professional team in accordance with the case and its evidences, e. g.,
•a Social worker•a Geriatrician•a General practitioner
dott.ssa Maria Russo
THE INSTRUMENTS OF SOCIAL EVALUATION SVAMA SOCIAL - MULTIDIMENSIONAL DATA EVALUATION ELDERLY
USERS SINA CARD - CARD SERVICE INFORMATION NON SELF-SUFFICIENCY
PEOPLE
WHAT HAPPENS NOW?
Access Card Evaluation Board: Area Mobility: Area Of Activities Of Daily Living: Cognitive Disorders Area Area Of Behavioral Disorders Economic Condition Housing Conditions Familial Status Stress Condition Of The Care Giver Support Social Network
Lisbon, 4- 9 JULY 2015 9dott.ssa Maria Russo
From the evaluation to service providingLow intensity support servicesProximity ServicesHelpline or teleserviceSocial transportMeals or laundry at homeother
Lisbon, 4- 9 JULY 2015 10dott.ssa Maria Russo
From the evaluation to service providingAverage intensity supportChecks for economic support for home careHome care up to 10 hours per weeksemiresidentialother
Lisbon, 4- 9 JULY 2015 11dott.ssa Maria Russo
From the evaluation to service providingHigh intensity support serviceHome care from 11 to 18 hours a weekHome care: more than 18 hours per weekresidentialother
Lisbon, 4- 9 JULY 2015 12dott.ssa Maria Russo
PERSONAL CARE PLANMr. Rossi will be provided social health home
care service for a number of 3 week accesses equivalent to 10 hours per week (first level service)
Lisbon, 4- 9 JULY 2015 13dott.ssa Maria Russo
UNIFIED ACCESS DOOR
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SINGLE POINT OF ACCESS
SOCIAL NEEDS SOCIAL
SERVICES
NEED HEALTH HEALTH SERVICE
NEED SOCIAL HEALTH
INTEGRATED
EVALUATION UNIT
NETWORK OF SOCIAL
AND HEALTH
CARE HOME TREATMENT
S
SEMI RESIDENTI
AL
RESIDENTIAL
OTHER SOLUTIONS
dott.ssa Maria Russo
MONITORINGMONITORING OF USERS’ ACCESS, depending
on:SOCIO DEMOGRAPHIC INDICATORS INQUIRY / REQUEST / APPLICATIONCITY OF RESIDENCECIVIL STATUS AND AGEGENDEREDUCATIONEMPLOYMENTECONOMIC CONDITIONSHOUSING ConditionFAMILY CONTEXT / CHRONIC AND DISABLING
CONDITIONSLisbon, 4- 9 JULY 2015 15dott.ssa Maria Russo
MONITORINGMONITORING OF THE SOCIAL OFFER, based
on:HOSPITALS AND HEALTH SERVICE UNITSPROVISION aidsDoctor’s surgery or private practiceRESIDENTIAL STRUCTURESSEMI RESIDENTIAL STRUCTURESHOME SERVICE RANKING
Lisbon, 4- 9 JULY 2015 16dott.ssa Maria Russo
MONITORINGChecking of ENTERING requests and applications:AREA OF INTERVENTIONINTENSITY OF NEEDS (MILD, MEDIUM, HIGH)TYPE OF NEED (SOCIAL, HALTHCARE, BOTH)PERFORMANCE REQUIREMENTS
Lisbon, 4- 9 JULY 2015 17dott.ssa Maria Russo
MONITORINGChecking outputs:STRUCTURESPERSONNELWAITING TIMEPERFORMANCE REQUIREMENTS
Lisbon, 4- 9 JULY 2015 18dott.ssa Maria Russo
MONITORINGIMPACT ASSESSMENT:RECEPTION - INFORMATIONCOMMUNICATIONACCESSIBILITY-USABILITY 'TIMES OF ‘PUA’ PROCEDURETIME DELIVERY SERVICES
Lisbon, 4- 9 JULY 2015 19dott.ssa Maria Russo
MONITORINGFINAL ASSESSMENT (OUTCOMES):COST CUTTING FOR RESIDENTIAL SERVICEINVESTMENT POLICIES OF INTEGRATION SOCIAL
AND HEALTHSHIFT FROM A MERE FUNCTIONAL
ORGANIZATIONAL MODEL OF ‘PUA’, TO A MORE ORGANIC ONE
REDUCED TIME TO WAIT BEFORE AN EFFECTIVE TAKING CHARGE
DECREASE OF OVERLAPPING IN RESPONSES and PATHS OF CARE
ACHIEVEMENT OF PROFITABILITY AND ECONOMIC RETURNS IN THE LONG TERM
Lisbon, 4- 9 JULY 2015 20dott.ssa Maria Russo
MONITORINGMONITORING OF IMPACT:EXPENDITURE FOR RESIDENTIAL SERVICE
HAVE BEEN REDUCED BY APPROXIMATELY €550,000.00 (2012) TO ABOUT € 300,000.00 (2014)
Lisbon, 4- 9 JULY 2015 21dott.ssa Maria Russo
What is Health ?Health is " a state of
complete physical , mental and social well being and not merely the absence of
the state of disease or infirmity .“
World Health OrganizationLisbon, 4- 9 JULY 2015 22dott.ssa Maria Russo
Life is not to live , but to live in good health .
Marziale (roman poet)
Thank you for listening
Lisbon, 4- 9 JULY 2015 23dott.ssa Maria Russo